Research Paper: The Role of Post-Traumatic Stress Disorder and Self-Efficacy Beliefs on the Quality of Life ofPatients With Traumatic Spinal Cord Injury
- سال انتشار: 1397
- محل انتشار: علوم اعصاب کاسپین، دوره: 4، شماره: 13
- کد COI اختصاصی: JR_CJNS-4-13_001
- زبان مقاله: انگلیسی
- تعداد مشاهده: 665
نویسندگان
Department of Psychology, Guilan Science and Research Branch, Islamic Azad University, Rasht, Iran
Department of Psychology, Faculty of Literature and Humanities, University of Guilan, Rasht, Iran
MD, Guilan Road Trauma Research Center (GRTRC), Rasht, Iran
MD, Guilan Road Trauma Research Center (GRTRC), Rasht, Iran
چکیده
Background: Spinal Cord Injury (SCI) and its post-traumatic stress remarkably influence thepatients’ Quality of Life (QOL). Besides, some health determinants such as self-efficacy beliefs canchange QOL of patients, too.Objectives: To determine the role of Post-Traumatic Stress Disorder (PTSD) and self-efficacybeliefs on the QOL after traumatic SCI.Materials & Methods: Out of 133 SCI patients studied from Spinal Cord Injury Center of RashtCity (North of Iran), 90 qualified for this cross-sectional study. A senior psychologist conductedstructured interviews for 70 people at the center and another 20 patients at their homes, because oftheir inability to come to the center. Data collection instruments were researcher-made questionnairecontaining both individual-social and lesion-related variables, post-traumatic stress scale for DSM-5, Sherer general self-efficacy questionnaire and the SCIQL-23 (Spinal Cord Injury Quality-of-Life-23) questionnaire (to assess the QOL in patients with SCI). The obtained data were analyzedby SPSS through the Pearson correlation coefficient, Independent student t test and hierarchicalregression analysis (after adjusting confounding demographic factors).Results: Correlation coefficients showed that the QOL of SCI patients decreases (P< 0.0001) withan increase in symptoms of PTSD and improves (P< 0.0001) with increasing self-efficacy beliefs.Hierarchical regression analysis also revealed that after removing the effect of the confoundingvariables (duration of lesion, gender, type of lesion, having a bedsore, catheter, nurse, diaper,wheelchair), signs of PTSD (F=7.38, P< 0.0001) and self-efficacy beliefs (F=18.35, P< 0.0001)significantly explained 66% of the total variance of SCIQL-23 scores.Conclusion: The results of this research stresses on the prevention and treatment of PTSD andpromoting self-efficacy beliefs in SCI patients in order to improve their QOL.کلیدواژه ها
Quality of Life, Spinal cord injuries, Self-efficacy, Stress disorders, Post-traumaticاطلاعات بیشتر در مورد COI
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